A1 Refereed original research article in a scientific journal

Medication adherence, self-efficacy and health literacy among patients with glaucoma: a mixed-methods study protocol




AuthorsAchilleos Maria, Merkouris Anastasios, Charalambous Andreas, Papastavrou Evridiki

PublisherBMJ PUBLISHING GROUP

Publication year2021

JournalBMJ Open

Journal name in sourceBMJ OPEN

Journal acronymBMJ OPEN

Article numberARTN e039788

Volume11

Issue1

Number of pages8

ISSN2044-6055

DOIhttps://doi.org/10.1136/bmjopen-2020-039788

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/53621491


Abstract
Introduction As the world population ages, glaucoma is becoming an increasingly significant cause of blindness. A key component in the management of glaucoma is the use of prescribed medications and the adherence to treatment. However, there is evidence of low adherence to prescribed medication in chronic diseases, such as glaucoma. This study aims to explore the level of medication adherence, self-efficacy, social support and health literacy among the patients with glaucoma and to determine if there are any correlations between them. The ultimate aim is to use the information to develop an educational programme for patients with glaucoma at a later stage. Methods and analysis This is a mixed-methods study which includes two stages: a descriptive study (stage 1) and focus group discussions (stage 2). Sample: Patients with glaucoma or ocular hypertension, using at least one kind of drops, from two ophthalmology clinics. Selected measures include: The Glaucoma Treatment Compliance Assessment Tool, The European Health Literacy Survey Questionnaire, The Glaucoma Medication Self-Efficacy Questionnaire and The Multidimensional Scale of Perceived Social Support. Two focus groups will be used for the collection of qualitative data, aiming to enrich the study with the patients' experiences. The data will be analysed with SPSS, using descriptive and inferential statistics for stage 1 whereas content analysis will be used for the data from the focus group discussions (stage 2). Ethics and dissemination Permission to conduct the study was received from the National Bioethics Committee and the board of management of the two ophthalmology clinics. All participants will be informed fully on the purpose and methods of the study. Consent forms will be signed and at any time participants will have the right to withdraw. Confidentiality and the protection of data will be respected at all times.

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